<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
	<link href="http://code.jquery.com/mobile/1.2.0/jquery.mobile-1.2.0.min.css" rel="stylesheet" type="text/css" />
	<script src="http://code.jquery.com/jquery-1.8.2.min.js"></script>
	<script src="http://code.jquery.com/mobile/1.2.0/jquery.mobile-1.2.0.min.js"></script>

	<title>@ttendid Feedback</title>

	<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
	<meta name="viewport" content="width=320,user-scalable=no" />

</head>
<body>
<div data-role="dialog">
  <div data-role="header">
    <h3>Feedback</h3>
  </div>
  <div data-role="content">
    <form action="feedback.php" method="post" data-transition="none">
      <div data-role="fieldcontain">
      	Name:
        <input type="text" name="fb_name" id="name" value="" required />
      </div>
      <div data-role="fieldcontain">
		Email:
        <input type="text" name="email" id="email" value="" required />
      </div>
      <div data-role="fieldcontain">
		Comments:
        <input type="text" name="comments" id="comments" value="" required>
        </textarea>
      </div>
      <input type="Submit" value="Send" data-theme="a" />
    </form>
  </div>
</div>
</body>
</html>
